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Inspection Detail

Inspection: 125757419 - Kaiser Permanente, Advice Center

Inspection Information - Office: American Canyon District Office

 

Inspection Nr: 125757419
Report ID: 0950622
Date Opened: 09/09/2004

Site Address:
Kaiser Permanente, Advice Center
1617 Broadway Street
Vallejo, CA 94591

Mailing Address:
, , 00000

Union Status: Union

SIC:8099

NAICS: 621999/All Other Miscellaneous Ambulatory Health Care Services


Inspection Type: Accident

Scope: Partial

Advanced Notice: N

Ownership: Private

Safety/Health: Health

Close Conference: 12/09/2004

Emphasis:

Case Closed: 09/19/2005


Related Activity
Type Activity Nr Safety Health
Accident 362327686
Violation Summary
Violations/Penalties Serious Willful Repeat Other Unclass Total
Initial Violations 1 2 3
Current Violations 1 2 3
Initial Penalty $22,500 $0 $0 $16,250 $0 $38,750
Current Penalty $4,050 $0 $0 $450 $0 $4,500
FTA Penalty $0 $0 $0 $0 $0 $0

Violation Items
# Citation ID Citaton Type Standard Cited Issuance Date Abatement Due Date Current Penalty Initial Penalty FTA Penalty Contest Latest Event Note
1. 01001 Other 342 A 12/21/2004 12/27/2004 $0 $5,000 $0 12/29/2004 W - Empr Withdrew  
2. 02001 Other 5194 E01 B 12/21/2004 04/08/2005 $450 $11,250 $0 12/29/2004 W - Empr Withdrew  
3. 03001 Serious 5141 A 12/21/2004 03/05/2005 $4,050 $22,500 $0 12/29/2004 W - Empr Withdrew  

Investigation Summary

Investigation Nr: 201487055
Event: 07/29/2004
Employee suffers from chemical exposure and is hospitalized

At approximately 8:30 p.m. on July 29, 2004, Employee #1 worked at her computer station. She experienced acute respiratory distress as her asthma flared up. Her symptoms included shortness of breath, wheezing, and coughing. Employee #1 detected a chemical smell but could not identify the source. Employees #2 and #3 also complained about a chemical odor. Employee #1 walked to the restroom and observed yellow caution tape across the cafeteria's double doors. She detected that the chemical odor was emanating from the cafeteria that was approximately 30 feet away from her computer station. Three employees of a subcontractor were using various chemical products in the installation of new cafeteria flooring. Employee #4, a nurse manager, was concerned about Employee #1's worsening symptoms, and had Employee #1 hospitalized at Kaiser Permanente's Emergency Medical Department.

Keywords: RESPIRATORY, LUNG, INSTALLING, VENTILATION, INHALATION, RESPIRATORY TRACT, CHEMICAL VAPOR, OVEREXPOSURE, CHEMICAL, COUGH

Investigated Inspection
# Inspection Age Sex Degree of Injury Nature of Injury Occupation
1 125757419 Hospitalized injury Other Registered nurses
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